A 3-year survey was made of several biological markers in mussels (Mytilus edulis) exposed in situ to the oil that came ashore after the wreck of the “Erika” tanker on the Brittany (France) coast in December 1999. The mussel response was assessed using a set of 7 biomarkers, most of them related to the metabolism of organic contaminants. After a series of validation tests, data was evaluated for only 5 biomarkers: acetylcholinesterase (AChE), glutathione S-transferase (GST), catalase (CAT), malondialdehyde (MDA) and deoxyribonucleic acid (DNA) adducts. No significant reductions in GST or CAT levels were observed, levels of DNA adducts and MDA were high during the 6 months immediately following the accident and levels of AChE were significantly lower during the first year of the survey suggesting a general stress. A simple multivariate graphic method, the integrated biomarker response index, was used to combine 4 of the 5 validated biomarkers and quantify the degree of impact on mussels at different sites. The results show that mussel populations were affected by the oil spill only during the first year after the event.